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Advanced Therapies for Overactive Bladder: Beyond Pills and Exercises
Published: Dec 09, 2023
For some people with overactive bladder (OAB), lifestyle changes and medications don't provide enough relief. Fortunately, there are advanced therapies that can help. These range from minimally invasive procedures to surgical options.
Nerve Stimulation Techniques
Nerve stimulation therapies work by modulating the nerve signals that control the bladder. There are several types, including percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNM). PTNS involves placing a thin needle near your ankle to stimulate a nerve that affects bladder function. SNM uses a small implanted device to send mild electrical pulses to the sacral nerves.
Botox Injections
Botox isn't just for wrinkles - it can also help with OAB. When injected into the bladder muscle, it helps relax it, reducing sudden urges and leaks. The effects typically last 6-12 months before the procedure needs to be repeated. While effective, it does carry a risk of temporary urinary retention.
Augmentation Cystoplasty
This surgical procedure involves enlarging the bladder using a piece of your intestine. It's typically reserved for severe cases that haven't responded to other treatments. While it can significantly improve bladder capacity, it's a major surgery with potential complications.
Choosing the Right Advanced Therapy
The choice of advanced therapy depends on several factors, including the severity of your symptoms, your overall health, and your preferences. Your doctor will discuss the pros and cons of each option to help you make an informed decision. It's important to understand that while these therapies can be very effective, they may also have more risks than standard treatments.
Frequently Asked Questions
Many are, but coverage varies. Check with your insurance provider.
Typically 6-12 months, after which the procedure can be repeated.
Yes, the device can be removed if needed.
Some newer devices are MRI-compatible. Discuss this with your doctor.
Usually weekly for 12 weeks, then monthly for maintenance.
Hope for Tough Cases
Advanced therapies offer hope for those with persistent OAB symptoms, potentially providing significant relief and improved quality of life.
References
- Amundsen CL, et al. OnabotulinumtoxinA vs Sacral Neuromodulation on Refractory Urgency Urinary Incontinence in Women: A Randomized Clinical Trial. JAMA. 2016;316:1366-1374.
- Gormley EA, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015;193:1572-1580.
- Noblett K, et al. Results of a prospective, multicenter study evaluating quality of life, safety, and efficacy of sacral neuromodulation at twelve months in subjects with symptoms of overactive bladder. Neurourol Urodyn. 2016;35:246-251.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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